A nurse is evaluating a postpartum client for potential endometritis.
Which of the following symptoms should the nurse identify as a need for further assessment?
Hematuria
Pelvic pain
Moderate amount of dark red lochia with a bloody odor
Localized area of breast tenderness
The Correct Answer is B
Choice A rationale
Hematuria, or blood in the urine, is not typically a symptom of postpartum endometritis.
Choice B rationale
Pelvic pain is a common symptom of postpartum endometritis. It is often one of the first symptoms to appear, along with lower abdominal pain and uterine tenderness.
Choice C rationale
While a moderate amount of dark red lochia with a bloody odor can be a normal part of the postpartum period, it is not specifically indicative of endometritis.
Choice D rationale
Localized area of breast tenderness is not typically a symptom of postpartum endometritis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Quickening is the sensation of fetal movement by the pregnant woman. It usually occurs between 16 and 20 weeks of gestation.
Choice B rationale
Hegar’s sign is a probable sign of pregnancy that is characterized by the compressibility and softening of the cervical isthmus, which is the portion of the cervix between the uterus and the vaginal portion of the cervix. This sign typically presents between the fourth and sixth week of pregnancy. Therefore, if the nurse identifies a probable sign indicating the softening of the lower uterine segment, it is likely that the nurse has observed Hegar’s sign.
Choice C rationale
Braxton Hicks contractions are intermittent uterine contractions that occur during pregnancy. They are not a sign of labor and do not lead to cervical dilation or effacement. Therefore, they would not indicate the softening of the lower uterine segment.
Choice D rationale
Ballottement is a technique of palpating a floating structure by bouncing it and feeling it rebound. In the context of pregnancy, it refers to the movement of the fetus when the uterus is tapped during a pelvic examination. This does not indicate the softening of the lower uterine segment.
Correct Answer is C
Explanation
Choice A rationale
Restricting outdoor activity to 1 hour per day is not necessary for patients with sickle cell anemia. While strenuous exercise and overexertion should be avoided, regular moderate exercise is beneficial and helps to promote good overall health.
Choice B rationale
Applying cold compresses when the child expresses pain is not recommended. Cold can lead to vasoconstriction, which can trigger a sickle cell crisis. Instead, warm compresses are often used to help increase circulation and reduce pain.
Choice C rationale
Drinking fluids multiple times every day is crucial. Hydration helps to keep the blood diluted and reduces the chances of a sickle cell crisis. Dehydration can increase the risk of a sickle cell crisis.
Choice D rationale
Monitoring temperature daily is not specifically required for patients with sickle cell anemia. However, any signs of infection, such as fever, should be reported to a healthcare provider immediately, as infection can trigger a sickle cell crisis.
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